Form 40 - Individual Income Tax Return - 2006
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1
2Clear Form
Amended Return
2006
OREGON
For offi ce use only
Form
40
INDIVIDUAL INCOME TAX RETURN
Fiscal year ending
Full-Year Residents Only
K
F
P
Q
R
Last name
First name and initial
Date of birth
(mm/dd/yyyy)
Social Security No. (SSN)
–
–
Deceased
Spouse’s last name if joint return
Spouse’s fi rst name and initial if joint return
Spouse’s SSN if joint return
Date of birth
(mm/dd/yyyy)
–
–
Deceased
Current mailing address
Telephone number
(
)
City
State
ZIP code
Country
If you fi led a return last year, and your
name or address is different, check here
•
Filing
Exemptions
Status
•
•
1
Total
Single
Check
2
6a
6a
Yourself ....
Married fi ling jointly
Regular
.........Severely disabled
.........
only
one
6b
b
3
Married fi ling
Spouse .....
Regular
.........Severely disabled
...........
Spouse’s name
box
separately
•
6c
c
All de pen dents
Spouse’s SSN
First names __________________________________
4
•
Head of household
6d
d
Person who qualifi es you
Disabled
First names __________________________________
children only
•
5
Qualifying widow(er) with dependent child
Total
6e
(see instructions)
•
•
•
•
•
Check
7a
7b
You
7c
You
7e
7d
You filed
If there is a kicker refund,
all that
You were:
65 or older
Blind
filed an
filed federal
you want to donate your
an Oregon
➛
apply
Spouse was:
65 or older
Blind
kicker to the State School Fund
extension
Form 8886
Form 24
Round to the nearest dollar
8 Federal adjusted gross income. Federal Form 1040, line 37; 1040A, line 21; 1040EZ, line 4;
.00
•
1040NR, line 35; or 1040NR-EZ, line 10. See instructions, page 24 ...........................................................
8
.00
•
9 Interest and dividends on state and local government bonds outside of Oregon ...
9
ADDITIONS
•
•
10b $
10 Other additions. Identify:
10a
•
•
10d $
•
•
10f $
•
.00
10c
10e
....
10
.00
•
11 Total additions. Add lines 9 and 10 .............................................................................................................
11
.00
•
12 Income after additions. Add lines 8 and 11 .................................................................................................
12
.00
•
13 2006 federal tax liability ($0–$5,000; see instructions for the correct amount) .....
13
SUB TRAC TIONS
.00
•
14 Social Security included on federal Form 1040, line 20b; or Form 1040A, line 14b ...
14
.00
•
Staple
15 Oregon income tax refund included in federal income ............................................
15
W-2s,
.00
•
16 Interest from U.S. government, such as Series EE, HH, and I bonds .....................
16
payment,
.00
% ...
•
% 17b
17 Federal pension income. See instructions, page 26. 17a
17
and
•
•
18b $
payment
18 Other subtractions. Identify:
18a
voucher
•
•
18d $
•
•
18f $
•
.00
18c
18e
....
18
here
.00
•
19 Total subtractions. Add lines 13 through 18 ................................................................................................
19
.00
•
20 Income after subtractions. Line 12 minus line 19 ........................................................................................
20
If you are claiming itemized deductions, fill in lines 21–25. If you are claiming the standard deduction, fill in line 26 only.
DEDUCTIONS
.00
•
21 Itemized deductions from federal Schedule A, line 28 ............................................
21
.00
•
22 Special Oregon medical deduction (age restricted, see instructions, page 28) ......
22
.00
•
23 Total Oregon itemized deductions. Add lines 21 and 22 .........................................
23
.00
•
24 State income tax claimed as an itemized deduction ..........................................
24
.00
•
25 Net Oregon itemized deductions. Line 23 minus line 24.........................................
25
Either line 25 or 26
OR
.00
•
26 Standard deduction from page 28 ...........................................................................
26
.00
•
27 Total deductions. Line 25 or line 26, whichever is larger .........................................................................
27
.00
•
28 Oregon taxable income. Line 20 minus line 27. If line 27 is more than line 20, fill in -0- ..........................
28
.00
•
29 Tax. See instructions, page 29. Enter tax here ........................................................
29
TAX
•
•
Check if tax is from: 29a
Tax tables or charts or
29b
Form FIA-40 or
29c
Worksheet FCG
•
.00
30 Interest on certain installment sales .........................................................................
30
.00
•
31 Total tax before credits. Add lines 29 and 30 ...................................
OREGON TAX BEFORE CREDITS
31
➛
NOW GO TO THE BACK OF THE FORM
150-101-040 (Rev. 12-06)
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